Revenue Cycle Manager

Revenue Cycle Manager

Salary Range: $76 974 - $92154 annually based on relevant years of experience

Location: Larimer County Colorado

Status: Full Time

Hours: Monday - Friday

Role Overview:

Responsible for ensuring accurate compliant and effective coding charging and billing practices the Revenue Integrity Manager provides strategic and operational leadership across the revenue cycle. This includes direct supervision of the coding team to maintain consistent highquality and compliant coding and chargecapture processes. The role also analyzes complex data to identify trends variances and improvement opportunities related to coding payor contracting and revenue cycle partnership with Revenue Cycle leadership this position fosters trust accountability and strong crossdepartmental collaboration while supporting a diverse inclusive and highperforming work environment. The Revenue Integrity Manager demonstrates and promotes SummitStone Health Partners values through both visionary and operational leadership.

Essential Duties:

• Oversee and ensure the accuracy and compliance of coding charge capture and reimbursement processes in alignment with regulations payer requirements and organizational policies; identify trends risks and opportunities for improvement.
• Provide direct management and supervision of the coding team including hiring onboarding training performance evaluation coaching and professional development to ensure high quality consistent coding practices.
• Establish workflows coding standards productivity expectations and quality benchmarks; conduct routine coding audits and provide guidance for improvement.
• Review insurance payments against payer contracts to validate reimbursement; investigate and report payment variances underpayments and systemic issues.
• Analyze denial trends and root causes related to coding authorization documentation and billing; collaborates with RCM Manager for claim resubmission reprocessing and denial prevention.
• Develop analyze and distribute reports on AR aging department revenues denial trends and monthly cash projections to support Revenue Cycle and Finance operations.
• Serve as the primary contact for Finance in validating charges payments adjustments and other financial data sourced from the EHR.
• Represent Revenue Cycle in the development of new service lines including reviewing and pricing new CPT codes in the chargemaster to ensure accurate compliant billing.
• Maintain up to date knowledge of the Colorado State Behavioral Health Services Billing Manual and other regulatory guidance; ensure compliance through education and monitoring.
• Serve as a subject matter expert and resource across departments providing guidance on coding billing reimbursement and revenue integrity best practices; report regularly to the Revenue Cycle Director on performance risks staffing needs and initiatives.
• Perform other duties as assigned.

Required:

• Bachelors degree in a related field required.
• More than two years of experience in revenue cycle coding billing compliance or data reporting required.
• Experience utilizing an EHR required experience with Epic preferred.
• Experience in the behavioral health field preferred.
• Equivalent combination of education and experience may be evaluated and considered.

Highly Desired:

• Bilingual/bi-cultural preferred.
• Coding certification preferred

At SummitStone Health Partners we strive to foster trust empower recovery and inspire hope to strengthen and enrich our Northern Colorado community.

We need your help to make this vision a reality.

We are committed to fostering a diverse and inclusive environment where everyone can be their authentic self. We actively seek team members with a variety of backgrounds identities and experiences and we honor the whole selfembracing differences in race ethnicity ability age gender sexual orientation spiritual beliefs socioeconomic status language and the many intersections of identity. We invite everyone to be part of our journey and proudly serve as an equal opportunity employer.

Please visit for more information about who we are.

Total Rewards

At SummitStone Health Partners we are proud to offer a comprehensive and competitive benefits package designed to support the well-being of our team members. Eligibility and pro-rated benefit levels are based on FTE (full-time equivalent) status.

Below are some of the benefits we offer:

Medical dental and vision coverage including options for eligible dependents

Mental health and wellness resources

Short-term and long-term disability insurances

Paid time off (PTO): Accrued vacation and personal leave based on FTE status and length of service

Paid Sick Leave: Provided in accordance with the Colorado Healthy Families and Workplaces Act (HFWA)

A range of voluntary benefits available to all employees

403(b) retirement plan with employer matching contributions

Health & Safety Requirement

All employees are required to receive an annual flu vaccination or have an approved exemption in place and wear a mask during flu season

Reach Out

SummitStone will provide persons with disabilities with reasonable accommodations. If reasonable accommodation is needed to participate in the job application or selection process please let your recruiter know.

Questions Please email us at .

This position will be open for a minimum of three days and/or until a top candidate is identified.